Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами

In primary hypothyroidism, what is the usual TSH result?

1. AHigh
2. BNormal
3. CLow
4. DUndetectable

What is overflow incontinence?

1. ALeaking when sneezing or jumping
2. BWetting caused by not being able to undress quickly
3. CLeaking after a sudden strong urge
4. DDribbling from a bladder that does not empty properly

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo show that the patient is allergic to all types of steroid medicine
2. BTo warn staff that extra steroid is needed in illness or injury
3. CTo let the patient buy steroids without a prescription
4. DTo record the patient's blood glucose results

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AWorse on waking and on coughing, with vomiting
2. BBetter in the morning and worse with stress
3. COnly present after reading for a long time
4. DA tight band across the forehead that eases with rest

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AA UTI cannot occur in people over 80
2. BOlder adults often show infection as confusion
3. CConfusion is the only symptom of a UTI at any age
4. DUrinary infections always cause a high fever in older adults

Какое утверждение о внутривенном введении фенитоина верно?

1. AЕго вводят в 0,9% хлориде натрия при кардиомониторинге
2. BЕго следует вводить быстро, за несколько секунд
3. CЕго можно добавлять в любую инфузию глюкозы
4. DНе требуется контроль сердечного ритма и артериального давления

A patient with an acute stroke has a glucose of 15 mmol/L (270 mg/dL). They do not have known diabetes. What is appropriate?

1. AStop all IV fluids to lower the glucose
2. BIgnore it, because stress always raises glucose
3. CReport it and monitor glucose, as it can worsen outcome
4. DGive glucose gel to stabilise the level

Пациент на перитонеальном диализе замечает, что вытекает меньше жидкости, чем было введено. У него не было стула четыре дня, отток прозрачный. Какая причина наиболее вероятна?

1. AДиализат введён слишком холодным
2. BЗапор, препятствующий оттоку
3. CНормальное всасывание, действия не нужны
4. DБактериальный перитонит